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PO Box 2930 Hartford CT 06104 2930
Total
1 Connecticut tax withheld from wages 1
1st QuarterMarch 31
3 Number of W 2s submitted 3
Address 2 Total Connecticut wages reported 2
Agricultural Employers An agricultural employer not registered with DRS to withhold Connecticut income tax should write the words AGRICULTURAL EMPLOYER in the space reserved for the Connecticut Tax Registration Number on this return
Amending Form CT W3
April 1 2nd QuarterJune 30
City State ZIP code
Complete all requested information on the front and back of this return
Complete for Each Period
Connecticut IncomePeriod
Connecticut Tax Registration Number
Connecticut taxpayers can either key in or upload their Form CT W3 (DRS) and Forms W 2 electronically through the
CT W3 (DRS) Back (Rev 12/12)
CT W3 (DRS) Connecticut Annual Reconciliation of Withholding 2013
Department of Revenue ServicesState of Connecticut
Do not send a payment with this return Payments are made using electronic funds transfer (EFT); Form CT 941 Connecticut Quarterly Reconciliation of Withholding; and Form CT 941X Amended Connecticut Reconciliation of Withholding
Do not use Form CT 941X to amend Form CT W3 or Form CT 1096 Connecticut Annual Summary and Transmittal of Information Returns
Due date
Electronic Filing Requirements Read instructions on back before completing this form
Electronic Filing Requirements Taxpayers who le 25 or more Forms W 2 reporting Connecticut wages paid are required to le Form CT W3 (DRS) and every Copy 1 of federal Form W 2 electronically You may request a waiver of the electronic ling requirements by completing Form CT 8508 Request for Waiver from Filing Informational Returns Electronically on or before January 15 2014 Taxpayers who le 24 or fewer Forms W 2 reporting Connecticut wages paid are encouraged to le electronically but may use paper forms without requesting a waiver
Electronic Reporting Information
Electronic reporting requirements are available on the DRS website at www ct gov/DRS/ew2 or by calling DRS at 1 800 382 9463 (Connecticut calls outside the Greater Hartford calling area only) or 860 297 5962 (from anywhere) TTY TDD and Text Telephone users only may transmit inquiries by calling 860 297 4911
Electronic reporting requirements are available on the DRS website at www ct gov/DRS/ew2 or by calling DRS at 800 382 9463 (Connecticut calls outside the Greater Hartford calling area only) or 860 297 5962 (from anywhere) TTY TDD and Text Telephone users only may transmit inquiries anytime by calling 860 297 4911
Employers must file every Copy 1 of federal Form W 2 with Form CT W3 (DRS) even if Connecticut income tax was not withheld
Enter the number of W 2 forms submitted with this return
February 28 2014 Enter name and address below Please print or type
Federal Employer ID Number
Form CT W3 (DRS)2013
General Instructions Form CT W3 (DRS) may be used by new employers or employers who have not received their 2013 Connecticut Employer Wage Withholding Returns and Instructions (TPG 067) Do not make a payment with this return
Household Employers Household employer do not use this form Instead use Form CT W3 HHE Connecticut Annual Reconciliation of Withholding for Household Employers
Household employers should not use this form to le their annual reconciliation of withholding If you are a household or agricultural employer see back page
I declare under penalty of law that I have examined this return (including any accompanying
If ling electronically Form CT W3 (DRS) is due the last day of March 2014 and will be completed as part of the electronic ling process when you upload Copy 1 of federal Forms W 2 If ling electronically do not mail in Form CT W3 (DRS) If ling by paper Form CT W3 (DRS) is due the last day of February 2014
If the due date falls on a Saturday Sunday or legal holiday the next business day is the due date
Include Copy 1 of all wage and tax statements reporting Connecticut wages
July 1 3rd QuarterSeptember 30
Line 2 Enter total Connecticut wages reported during the 2013 calendar year Connecticut wages are all wages paid to employees who are residents of Connecticut even if those wages are paid for work performed outside Connecticut by those resident employees and wages paid to employees who are nonresidents of Connecticut if those wages are paid for work performed in Connecticut by those nonresident employees
Line 3
Line Instructions Line 1 Enter total Connecticutincome tax withheld from wages during
October 1 4th QuarterDecember 31
paid during the calendar year with this return Electronic Filing Requirements: Taxpayers who le 25 or more Forms W 2 reporting Connecticut wages paid are required to le Form CT W3 and every Copy 1 of federal Form W 2 electronically You may request a waiver of the electronic ling requirements by completing Form CT 8508 Request for Waiver from Filing Informational Returns Electronically on or before January 15 2014
PO Box 2930 Hartford CT 06104 2930 Connecticut Annual Reconciliation of Withholding(Rev 12/12) Complete this return in blue or black ink only
Reminders
Rounding Off to Whole Dollars
schedules and statements) and to the best of my knowledge and belief it is true complete Do not send payment with this return and correct I understand the penalty for willfully delivering a false return or document to Mail to: Department of Revenue ServicesDRS is a ne of not more than $5 000 or imprisonment for not more than ve years or both
Separate here and mail return to DRS Make a copy for your records
Sign and date the return in the space provided
Signature
Tax Withheld From Wages January 1
Taxpayer Service Center (TSC)
Taxpayer Service Center (TSC) The TSC allows taxpayers to electronically le pay and manage state tax responsibilities To make electronic transactions or administer your tax account online visit www ct gov/TSC and select Business
Taxpayers who le 24 or fewer Forms W 2 reporting Connecticut wages paid are encouraged to le electronically but may use paper forms without requesting a waiver
the 2013 calendar year This should equal the Total line on the back of this return
The total gross Connecticut wages on Form CT 941 or Form CT 941X Line 2 must agree with the total Connecticut wages reported on Form CT W3 Line 2
This should equal Line 1 on the front of this return
Title Date
To amend Form CT W3 submit a revised Form CT W3 clearly labeled AMENDED The total Connecticut tax withheld for all four quarters on Form CT 941 or Form CT 941X Line 3 must agree with the total reported on Form CT W3 Line 1
When to File
Where to File Use the Taxpayer Service Center (TSC) to electronically le this return See TSC on back If ling by paper mail completed return including Forms W 2 to the address on the return below
You must round off cents to the nearest whole dollar on your returns and schedules If you do not round the Department of Revenue Services (DRS) will disregard the cents Round down to the next lowest dollar all amounts that include 1 through 49 cents Round up to the next highest dollar all amounts that include 50 through 99 cents